Organization Active NPI

Sommerville Dental

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1447405188
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49513 Issued in CA
Legal business name
SOMMERVILLE DENTAL
Practice address
9525 N Sommerville Dr
Fresno, CA 93720-5478
Phone
(559) 433-3315
NPI assigned
Nov 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ahmed R Elreedi, DDS
Title
Owner
Phone
(559) 433-3315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49513 CA Primary

Addresses

Primary practice location

9525 N Sommerville Dr
Fresno, CA 93720-5478

Mailing address

9525 N Sommerville Dr
Fresno, CA 93720-5478
Phone (559) 433-3315

National Provider Directory

National Provider Directory

Locations

9525 N Sommerville Dr
Fresno, CA 93720
Phone (559) 433-3315

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1447405188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 N SOMMERVILLE DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205478",
            "telephone_number": "559-433-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 N SOMMERVILLE DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205478",
            "telephone_number": "559-433-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMMERVILLE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "ELREEDI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-433-3315",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.